3 answers

0

2

I'm an Accredited Practising Dietitian with more than 30 years experience. Particular areas of interest and expertise are in Obesity & Weight Mgt, Type 2 ...
View Profile

It is certainly not possible to reverse Type 1 Diabetes or cure it at this point in time. JDRF is a fantastic organization that can provide information on where the research is up to at this point of time with regard to searching for a cure.To get Type 2 Diabetes you have to have the gene for it and then it is usually environment that puts someone in the diabetes blood glucose range. Putting on weight is often the trigger. If you lose weight, eat a Low GI, portion controlled diet and exercise regularly, it is possible to pull your Diabetes back somewhat, and yes in some cases you can appear to have reversed it, achieving an HbA1c in the normal range of 4 - 6%. However, as soon as weight goes on, most likely the blood glucose levels will rise again back into the Diabetic range. Also, Diabetes is a progressive disease, so no matter how well controlled someone is, over time the pancreous becomes less efficient and the next step of management will be required. Diet and Exercise and weight management. Then add one oral hypoglycaemic agent, then another, then insulin. It also depends on how long you have had diabetes as to how the treatment progresses. So to sum it up, in the early stages it can appear that you can reverse your Diabetes. And if you keep your weight under control, it may stay this way for some time.

0

0

Niruben Rajasagaram - Consultant Bariatric, Oesophagogastric & General Surgeon. He specialises in benign/malignant conditions that affect the upper gastrointestinal tract, as well as obesity and ...
View Profile

Short answer it it can happen in obese type 2 diabetics who undergo metabolic surgery.

Long answer :

Each individual has to be assessed by a specialist bariatric surgeon. This will involve a frank discussion about the benefits / risks, aims, outcomes, etc

For the first time in the history of diabetes a recommendation has been put forward for surgery to be considered an option in obese type 2 diabetics. This is an excerpt below

Clinical guidelines published this week1 announce what may be the most radical change in the treatment of type 2 diabetes for almost a century. Appearing in Diabetes Care, a journal of the American Diabetes Association, and endorsed by 45 professional societies around the world, the guidelines propose that surgery involving the manipulation of the stomach or intestine be considered as a standard treatment option for appropriate candidates. This development follows multiple clinical trials showing that gastrointestinal surgery can improve blood-sugar levels more effectively than any lifestyle or pharmaceutical intervention, and even lead to long-term remission of the disease

There is a thorough understanding that is needed before undertaking surgery for this. This will be discussed in detail with your specialist. In a sense this fact has been well known among bariatric and metabolic surgeons for some time now. It is nice to see non surgeons coming on board to try and support this. We may finally be on a stepping stone that will stop putting surgery as the last option in these patients, giving patients a real chance to potentially put their diabetes days behind them

Disclaimer: HealthShare is intended for Australian residents only.
HealthShare does not endorse, accept, or adopt the health care practitioners on our site,
the content of any profiles nor the comments or discussions in the community forum.
HealthShare is an information resource which contains advertising and is not a substitute
for medical advice, diagnosis or treatment by your health care professional.

Sign up to HealthShare

General Member

Health Professional

Log in to HealthShare

What is a Sponsor?

To keep HealthShare free for Members, Sponsors provide financial support to assist with the running costs associated with the services we provide, including site maintenance and continued development, hosting etc. In addition, Sponsors provide thought-leadership and expertise.

The Sponsor is only responsible for content provided in 1) Sponsored Q&mp;As 2) Sponsored Health Guides. The Sponsor does not control, review or moderate any other areas in HealthShare.